NPIMap

Organization Active NPI

American Indian Changing Spirits

  • Substance Abuse Rehabilitation Facility
  • Long Beach, CA
National Provider Identifier
1841539921
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190239AN Issued in CA
Legal business name
AMERICAN INDIAN CHANGING SPIRITS
Practice address
2120 W Williams St
Building #1
Long Beach, CA 90810-3636
Phone
(562) 388-8118
NPI assigned
Feb 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Henry Van Oudheusden, MA, MSW
Title
Ceo
Phone
(310) 679-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190239AN CA Primary

Addresses

Primary practice location

2120 W Williams St
Building #1
Long Beach, CA 90810-3636

Mailing address

2120 W Williams St
Building #1
Long Beach, CA 90810-3636
Phone (562) 388-8118

National Provider Directory

National Provider Directory
Tax ID family
American Indian Changing Spirits3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1841539921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W WILLIAMS ST",
            "address_2": "BUILDING #1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908103636",
            "telephone_number": "562-388-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W WILLIAMS ST",
            "address_2": "BUILDING #1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908103636",
            "telephone_number": "562-388-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN INDIAN CHANGING SPIRITS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "VAN OUDHEUSDEN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-679-9126",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, MSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190239AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.